Buchanan, Wanda J.

Buchanan, Wanda J. is an individual health care provider with primary practice located at Rr 2 Box 169-G Grayrock Professional Park, Lewisburg WV 24901-9316. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Buchanan, Wanda J. can be contacted via phone (304) 645-1706.

Contact Information

Primary practice address
Rr 2 Box 169-G Grayrock Professional Park Lewisburg WV 24901-9316
Phone: (304) 645-1706
Fax: (304) 645-4085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-0001 West Virginia

Profile Details

NPI number 1003964453
LBN Legal business name Buchanan, Wanda J.
Credentials Surgical Technician (ST)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003964453 NPPES
West Virginia MEDICAID 3810006723

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